Transcatheter closure of fontan fenestrations using the Amplatzer septal occluder: initial experience and follow-up.
نویسندگان
چکیده
We have recently used the Amplatzer septal occluder to close Fontan fenestrations. Between June 1998 and December 1999, 13 patients underwent transcatheter occlusion of their Fontan fenestrations. Systemic blood flow decreased significantly without a concomitant decrease in pulmonary blood flow. All residual shunts detectable by oximetry were at sites separate from those into which occlusion devices were implanted. One patient developed severe tricuspid regurgitation following the procedure requiring surgical removal of the device. At the last follow-up, all patients were doing well clinically. There were no shunts detectable through or around the devices by echocardiography. Our experience indicates that the location of the fenestration within the Fontan baffle is critical to avoiding device interference with other intracardiac structures. The Amplatzer septal occluder offers an effective means of transcatheter closure of Fontan baffle fenestrations. Although more experience is needed, our current follow-up data suggest that long-term outcomes will be favorable. Cathet. Cardiovasc. Intervent. 51:301-304, 2000.
منابع مشابه
Letters to the Editor Catheter-Based Device Closure of Fontan Fenestrations
I read with interest the article by Cowley et al. [1] on transcatheter closure of Fontan fenestrations with the Amplatzer. In the introduction section, they state that there are a variety of transcatheter methods to close the fenestrations and mention clamshell device, Rashkind ductal umbrella, coil, and Amplatzer septal occluder. I would like to draw the attention of the readers to our reporte...
متن کاملTranscatheter closure of secundum atrial septal defects and fenestrated Fontan using the Amplatzer septal occluder. Initial prospective study.
OBJECTIVE To evaluate the safety and efficacy of transcatheter closure of secundum atrial septal defects and fenestrated Fontan with the Amplatzer septal occluder. METHODS Fifteen consecutive patients, with a significant interatrial communications, were considered for the procedure; four patients with defects that were too large or with deficient margins were excluded after initial transesoph...
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Objective: To assess the short-term outcome following transcatheter closure of secundum atrial septal defect (ASD) in our hospital. Patients and Methods: Between June 2000 and November 2001, 20 patients diagnosed as secundum atrial septal defects underwent transcatheter closure of their defects using the Amplatzer septal occluder (ASO) device. Indications for 18 patients were larger atrial sept...
متن کاملTranscatheter closure of antegrade pulmonary blood flow with Amplatzer septal occluder after Fontan operation
متن کامل
Experience with transcatheter closure of secundum atrial septal defects using the Amplatzer septal occluder: a single centre study in 236 consecutive patients.
AIM To evaluate the safety and efficacy of transcatheter closure of secundum atrial septal defects (ASD) with the Amplatzer septal occluder. METHODS 236 consecutive patients with a significant ASD (age 6 months to 46 years, median 5 years; body weight 6.5-79 kg, median 18 kg) were considered for transcatheter closure with the Amplatzer septal occluder; 18 patients with defects that were too l...
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ورودعنوان ژورنال:
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
دوره 51 3 شماره
صفحات -
تاریخ انتشار 2000